Dr Kims Total Medical Care P S | |
18623 Highway 99 #230 Lynnwood WA 98037-4509 | |
(425) 672-8282 | |
(425) 275-5144 |
Full Name | Dr Kims Total Medical Care P S |
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Speciality | Family Medicine |
Location | 18623 Highway 99, Lynnwood, Washington |
Authorized Official Name and Position | Casey Kwon Kim (PRESIDENT) |
Authorized Official Contact | 4256728282 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Kims Total Medical Care P S 18623 Highway 99 Ste 230 Lynnwood WA 98037 Ph: (425) 672-8282 | Dr Kims Total Medical Care P S 18623 Highway 99 #230 Lynnwood WA 98037-4509 Ph: (425) 672-8282 |
NPI Number | 1609820513 |
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Provider Enumeration Date | 05/22/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6103828215 |
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Medicare Enrollment ID | O20070202000065 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609820513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00046002 (Washington) | Primary |
Provider Name | Casey K Kim |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073578704 PECOS PAC ID: 1951303064 Enrollment ID: I20070202000125 |
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